Healthcare Provider Details

I. General information

NPI: 1013364322
Provider Name (Legal Business Name): HELEN POTTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGH ST STE B7
BUFFALO NY
14203-1126
US

IV. Provider business mailing address

100 HIGH ST STE B7
BUFFALO NY
14203-1126
US

V. Phone/Fax

Practice location:
  • Phone: 716-859-2700
  • Fax:
Mailing address:
  • Phone: 716-859-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number327122-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: